Business Consultant – Medicaid

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October 22

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Merative

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Healthcare Insurance • SaaS • Artificial Intelligence

Merative is a healthcare data, technology, and analytics company. It offers a range of solutions aimed at improving health outcomes by focusing on clinical decision support, healthcare analytics, medical imaging, clinical development, and health and human services. Key products and services include Micromedex for clinical decision support, Zelta for clinical data management, Merge for imaging solutions, and Truven for healthcare analytics. Merative serves a diverse client base, including healthcare providers, life sciences companies, governments, health plans, and employers. The company is dedicated to enhancing healthcare delivery and decision-making by leveraging real-world data and advanced analytics to provide actionable insights and tailored solutions.

1001 - 5000 employees

Founded 2022

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

📋 Description

• Research, analysis, and define customer requirements to build a Healthcare Care Management platform supporting collaboration of care and data – Care plans, medications, healthcare providers, and more • Analyze the business requirements of our customers and system functionality to scope. • Write the functional documentation and user stories required by technical consultants who develop our software. • Learn and become well versed in the Cúram product and case management business process to perform fit/ gap analysis and advise on the best approach to implement solutions using the product. • Act as the point of contact for business-related questions and issues that arise and require clarification, working closely with stakeholders and technical staff. • Collaborate with teams discussing design options and the various merits of different approaches. • Work with teams developing demos and client presentations. • Lead agile sessions when required. • Analyze requests from clients and requirements complete detailed work estimates. • Prioritize and document solution requirements including Use case and/or process flows, User Stories, Data definitions and/or logical data models, Screen design and story boarding, QA and test case development.

🎯 Requirements

• 7+ years of experience in a Business Analyst or related role, with a focus on delivering technology-driven projects related to healthcare systems • Medicaid Managed Care organization (MCO) or Medi-CAL (such as Kaiser, Blue Cross, Molina, etc) experience • Systems experience in EHR (Electronic Health records) -OR- FHIR (Fast Healthcare Interoperability Resource) • Understanding of integrations and data exchange in healthcare systems • Proven expertise in business process analysis, including user stories, process flows, and gap analysis. • Strong ability to optimize business processes for increased efficiency and effectiveness. • Expertise in identifying and evaluating delivery methods and advising teams on best practices based on measurable outcomes. • Experience supporting teams by helping visualize outcomes, prioritize tasks, and deliver solutions aligned with project scope. • Solid team building, problem resolution and decision-making skills. • Curam software knowledge, and case management business process flow. • A comprehensive understanding of how to implement and customize Commercial-off-the-shelf (COTS) functionality to meet requirements.

🏖️ Benefits

• Remote first / work from home culture • Flexible vacation to help you rest, recharge, and connect with loved ones • Paid leave benefits • Health, dental, and vision insurance • 401k retirement savings plan • Infertility benefits • Tuition reimbursement, life insurance, EAP – and more!